MEDICARE: GAIL SUSAN CHORNEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	174409	NY
2	207X00000X	Orthopaedic Surgery Physician	25MA05560700	NJ
3	207X00000X	Orthopaedic Surgery Physician	56549	MA

General Provider Information

NPI Number	:	1376534743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL SUSAN CHORNEY MD

Provider Business Mailing Address
First Line	:	301 E 17TH ST
Second Line	:	SUITE 413
City	:	NEW YORK
State	:	NY
Zip	:	10003-3804
Country	:	US
Telephone Number	:	212-598-6211
Fax Number	:	212-598-7625

Provider Business Practice Location Address
First Line	:	303 2ND AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-2739
Country	:	US
Telephone Number	:	212-598-6211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	07/08/2007

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